Organization Active NPI

Mantra Group Home LLC

  • Non-emergency Medical Transport (VAN)
  • Laveen, AZ
National Provider Identifier
1780594200
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MANTRA GROUP HOME LLC
Practice address
5420 W Glass LN
Laveen, AZ 85339-6943
Phone
(602) 312-6379
Fax
(866) 553-9252
NPI assigned
Sep 8, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asli HusseinNPI 1174382279
Title
Owner
Phone
(602) 312-6379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5420 W Glass LN
Laveen, AZ 85339-6943

Mailing address

5420 W Glass LN
Laveen, AZ 85339-6943
Phone (602) 312-6379

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1780594200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W GLASS LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396943",
            "telephone_number": "602-312-6379",
            "fax_number": "866-553-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W GLASS LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396943",
            "telephone_number": "602-312-6379",
            "fax_number": "866-553-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTRA GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ASLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-312-6379"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.